Rahimi Z, Mahdavi S M, Kamyab M, Dadgostar H, Ataei S. Comparing Spinomed® and Elderly Spinal Orthosis Use on Kyphosis Angle, Back Pain, and Quality of Life in Elderly With Thoracic Hyperkyphosis. Iranian Rehabilitation Journal 2021; 19 (4) :351-360
URL:
http://irj.uswr.ac.ir/article-1-1336-en.html
1- Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Orthopedic Spine Surgery, Rasoul-e-Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
3- Department of Sports Medicine, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
Abstract: (4419 Views)
Objectives: Thoracic hyperkyphosis is one of the most common conditions in the elderly. The use of orthosis and exercise is one of the most effective treatments suggested, but unfortunately, there is little evidence to support this treatment. The study aimed to compare the effect of Spinomed® orthosis and elderly spinal orthosis with exercise and exercise alone on the angle of kyphosis, quality of life, and pain in the elderly with thoracic hyperkyphosis.
Methods: In this study, 40 older adults aged 60 years and older with a kyphosis angle of more than 50 degrees were recruited. The participants were allocated into three groups: Spinomed® orthosis and exercise (n=14), elderly spinal orthosis and exercise (n=15), and exercise only (n=11). The groups were treated for three months.
Results: There was a significant decrease in the kyphosis angle of participants in the Spinomed® orthosis and exercise groups (P=0.005). Pain score was significantly decreased in the Spinomed® orthosis and exercise group (P=0.023). There was only a significant increase in the physical component summary in the Spinomed® orthosis and exercise group (P=0.03) and the elderly spinal orthosis and exercise group (P=0.04) .
Discussion: The combination of Spinomed® orthosis with exercise is the best choice to correct the kyphosis angle, reduce pain, and increase the quality of life. Elderly spinal orthosis and exercise can also improve the quality of life scores.
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● This study was performed on the elderly with thoracic hyperkyphosis. The purpose of this study was to compare orthosis treatment along with a supervised exercise program.
● Orthotic therapy combined with an exercise program can have an excellent therapeutic effect on reducing kyphosis angle and back pain and increasing the quality of life.
Plain Language Summary
At present, the mean age of the world population is the highest compared to the past. Preventing old-age injuries is the best way to control the health cost of society and improve the quality of life of the elderly. This study is about the hunchback complication that has adverse effects on the health of the elderly. Hunchback causes people to fall, reduces their respiratory capacity and activity, and even increases mortality in the elderly community. Exercise and the use of orthoses are two non-surgical methods in controlling and treating this complication. The purpose of this study was to investigate these treatments and their further combinations.
Article type:
Original Research Articles |
Subject:
Rehabilitation Management Received: 2021/04/19 | Accepted: 2021/04/30 | Published: 2021/12/1
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